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《视力与听力双重障碍儿童及青少年的国际功能、残疾和健康分类核心集制定:世卫组织各区域多研究合作方案》

Development of the International Classification of Functioning, Disability and Health Core Sets for children and youth with deafblindness: protocol for a multistudy collaboration across regions of WHO.

作者信息

Dumassais Shirley, Wittich Walter

机构信息

École d'optométrie, Université de Montréal, Montréal, Québec, Canada

École d'optométrie, Université de Montréal, Montréal, Québec, Canada.

出版信息

BMJ Open. 2025 Apr 7;15(4):e100155. doi: 10.1136/bmjopen-2025-100155.

Abstract

INTRODUCTION

While the International Classification of Functioning, Disability and Health (ICF) Core Sets have been developed for deafblindness across the lifespan, there are currently no Core Sets specifically designed for children and youth with deafblindness. Children with deafblindness often experience unique challenges not captured in existing Core Sets, requiring a specialised framework to assess their functioning, activity limitations, participation restrictions and environmental factors. This project aims to develop ICF Core Sets specifically for children and youth with deafblindness, capturing their daily functioning and providing a comprehensive understanding of their needs.

METHODS AND ANALYSIS

This multimethod research project will follow the standardised ICF Core Set development methodology as outlined by the ICF Research Branch. The project will consist of several studies, beginning with a systematic literature review to synthesise existing knowledge on the functioning and needs of children and youth with deafblindness. To capture lived experiences, qualitative interviews will be conducted with parents, caregivers and adolescents with deafblindness, providing in-depth insights into their daily challenges and strengths. An international survey will be distributed to professionals in healthcare, education and policy to gather expert perspectives on key factors influencing the lives of this population. Additionally, an empirical multicentre study will be carried out to explore the challenges faced by the population in clinical settings. Together, these methods will inform the development of a tailored ICF Core Set for children and youth with deafblindness, aiming to identify and classify the most relevant factors impacting their functioning, activity limitations, participation restrictions and environmental influences.

ETHICS AND DISSEMINATION

Ethical approval will be obtained for all stages of the project, in the relevant locations, ensuring the protection of participant rights and confidentiality. The findings from this project will be disseminated through peer-reviewed scientific publications, presentations at local, national and international conferences, and stakeholder reports aimed at healthcare providers, educators and policymakers. These results will inform future practices, interventions and policies to better support children and youth with deafblindness.

摘要

引言

虽然国际功能、残疾和健康分类(ICF)核心集已针对全生命周期的聋盲症制定,但目前尚无专门为患有聋盲症的儿童和青少年设计的核心集。患有聋盲症的儿童经常面临现有核心集中未涵盖的独特挑战,这需要一个专门的框架来评估他们的功能、活动受限、参与受限和环境因素。本项目旨在为患有聋盲症的儿童和青少年开发专门的ICF核心集,描述他们的日常功能,并全面了解他们的需求。

方法与分析

本多方法研究项目将遵循ICF研究分支概述的标准化ICF核心集开发方法。该项目将包括多项研究,首先进行系统的文献综述,以综合关于患有聋盲症的儿童和青少年的功能及需求的现有知识。为了了解实际生活经历,将对患有聋盲症的儿童的父母、照料者和青少年进行定性访谈,深入了解他们日常面临的挑战和优势。将向医疗保健、教育和政策领域的专业人员进行一项国际调查,以收集关于影响这一人群生活的关键因素的专家意见。此外,还将开展一项实证多中心研究,以探讨该人群在临床环境中面临的挑战。这些方法将共同为开发针对患有聋盲症的儿童和青少年的定制ICF核心集提供信息,旨在识别和分类影响他们的功能、活动受限、参与受限和环境影响的最相关因素。

伦理与传播

将在相关地点为项目的所有阶段获得伦理批准,确保保护参与者的权利和保密性。本项目的研究结果将通过同行评审的科学出版物、在地方、国家和国际会议上的报告以及针对医疗保健提供者、教育工作者和政策制定者的利益相关者报告进行传播。这些结果将为未来的实践、干预措施和政策提供信息,以更好地支持患有聋盲症的儿童和青少年。

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